Minimal Invasive Surgery Center PLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MINIMAL INVASIVE SURGERY CENTER PLC

Practice address

15760 19 Mile Rd Ste C
Clinton Township, MI 48038-6319

Phone

(586) 329-3895

Fax

(586) 698-1574

NPI assigned

Sep 17, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brian G Loder, DPM

Title

Owner

Phone

(586) 329-3895

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1497582274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15760 19 MILE RD STE C",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386319",
            "telephone_number": "586-329-3895",
            "fax_number": "586-698-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15760 19 MILE RD STE C",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386319",
            "telephone_number": "586-329-3895",
            "fax_number": "586-698-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINIMAL INVASIVE SURGERY CENTER PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "LODER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-329-3895",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Marie Minaudo, RPH
• Mind & Beyond Home Help Care LLC
• Mindy Salzberg-Siegel DDS PC
• Faith Pauline Miner
• Heather Minicilli
• Melanie L Mirisciotti, PHARMD
• Richard J Mirowski, P.C
• Iram Mirza, M.D.
• Mark Mishack, MD
• Tyana Misiuda, NP

• Ambulatory Surgical Clinic/Center in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Ambulatory Surgical Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.